A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine patient-controlled analgesia (PCA). Which of the following information should the nurse include?
"Instruct the client's visitors not to operate the PCA pump.
"Check the client's pain level every 8 hours.
"Using morphine PCA increases the client's risk of toxicity."
"Diarrhea is an adverse effect of morphine PCA"
The Correct Answer is A
A. Only the client should operate the PCA pump to ensure self-administration within prescribed limits.
B. Pain assessment should be more frequent, and the client's pain level should be assessed as needed, not on a fixed schedule.
C. Morphine PCA allows the client to self-administer a predetermined dose, minimizing the risk of overdose or toxicity.
D. Constipation, not diarrhea, is a common adverse effect of opioid medications, including morphine.
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Related Questions
Correct Answer is C
Explanation
A. Weight gain, not weight loss, is a common side effect of prednisone.
B. Sodium restriction may be necessary, as prednisone can cause sodium retention.
C. Prednisone can suppress the immune system, and reporting signs of infection, such as a sore throat, is important.
D. Prednisone is typically taken with food to minimize gastrointestinal irritation.
Correct Answer is B
Explanation
A. While important, reviewing electrolyte levels takes priority, especially considering furosemide's potential impact on electrolyte balance.
B. Furosemide, a loop diuretic, can lead to electrolyte imbalances, such as hypokalemia, so it is crucial to review electrolyte levels before administering another dose.
C. Before administering the medication, reviewing electrolyte levels is essential to avoid potential complications.
D. Monitoring urinary output is important, but reviewing electrolyte levels is more crucial in this situation.
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